Hiya
I am high risk and am having a homebirth, as I did not give my doctor an option. I told my doctor hell would freeze over before they got me in there, and then I hired an independent midwife, who backed me completely. I have consultant care as a backup and will go into hospital if necessary, but my consultant knows my midwife very well and both she and I have assured the consultant that if my midwife feels I need to be transfered, I will agree to be transfered.
In first pregnancies, the general reason for a transfer is if there is a problem which requires an emergency caesarean, or for additional pain relief. Problems tend to develop slowly rather than quickly, and a good midwife will spot it in the early stages.
The care and support I have had from my Independent Midwife (Meg Miskin-Garside in Oxford) has been second to none, and having experienced pregnancy with her as my midwife, I would never consider going with anybody who did not support me in a homebirth.
I would also say that at the moment, at 32 + 1 my baby is in the breech position. I am still having a homebirth, albeit with an extra midwife in attendance if the baby has not gone into the correct position by the time I go into labour. I will try ECV and acupuncture/moxibustion as they have high success rates, but I have every confidence in Meg's ability to look after me and deal with any problems which may arise should the baby still be breech at the point he is ready to be born.
Incidentally, just worth thinking about: you are the product of millions of years worth of women giving birth naturally at home. Your ancestors have all been very successful at it, without assistance (otherwise you would not be here). The NHS has been around for 60 years. Who would you trust more: the combined instinct and knowledge of generations of women, already inbuilt into your body (which instinctively knows how to give birth), or the views of a knife happy doctor who will only work within his/her comfort zone and tells you that you have to give birth within his/her time frame or else you will have to be "induced", labour speeded up, etc etc because what your body wants doesn't fit what he wants? Just a thought....
If you want a hombirth, go for it. A good source of info is www.homebirth.org.uk